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On 26 January 2019, Sanabria signed for Serie A club Genoa on loan until 30 June 2020.

On 20 September 2017 he scored the winning goal in Real Betis' 1-0 win over Real Madrid. It was Betis' first win at the Bernabeu since October 1998, when Finidi George scored in another 1-0 victory.

On 15 July 2016, Sanabria signed a five-year deal with Real Betis for a fee of €7.5 million, with Roma retaining a 50% clause on the following transfer and a re-buy clause.

On 8 February 2015, Sanabria made his first team debut for Roma, replacing Francesco Totti after 62 minutes, in the 2–1 Serie A victory against Cagliari.

On 11 August he returned to Spain, after agreeing to a one-year loan deal with La Liga side Sporting de Gijón. Sanabria made his La Liga debut on 23 August 2015, starting in a 0–0 home draw against Real Madrid. He scored his first goals in the category on 23 September, netting a brace in a 3–2 away win against Deportivo de La Coruña.

Sanabria scored a hat-trick in a 3–1 home success over UD Las Palmas on 6 December 2015. He added another on 22 January of the following year, in a 5–1 routing of Real Sociedad.

On 29 January 2014, Sanabria joined fellow Serie A side Sassuolo, for a €4.5 million fee, plus €7.5 million bonuses "dependent on the player’s performance and his future value". The deal was later clarified and he would join Roma in July, as the Giallorossi already reached the foreign quota.

Sanabria officially joined Roma in July 2014 for €4.926 million (including €2.5 million from Roma via Sassuolo to Barcelona). Roma also took the contractual responsibility from Sassuolo, to pay Barcelona up to an additional €7 million for bonuses. As well as being a member of the first team squad, Sanabria also featured for the Roma Primavera squad in the 2014–15 UEFA Youth League, scoring two goals in the 3–2 defeat against Bayern Munich on 5 November 2014.

In August 2013, Sanabria was promoted to FC Barcelona B in Segunda División. On 29 September he made his professional debut, playing the last 22 minutes in a 0–1 home loss against RCD Mallorca.

On 20 November 2013, Sanabria rejected a contract extension from Barça. Three days later he scored his first professional goal, in a 1–2 home loss against UD Las Palmas. He was linked to Roma and others which faced fierce competition to sign him in January.

Sanabria made his Serie A debut on 23 March, replacing Davide Biondini in a 0–1 loss at Udinese.

After playing for both under-17 and under-20 levels, Sanabria made his full squad debut on 14 August 2013, in a 3–3 draw against Germany. Sanabria was selected as part of Paraguay's Copa America Centenario roster, where he made two appearances. He came on as a substitute in the second group stage match against Colombia, as well as started in the final group stage match against the United States.

Sanabria joined FC Barcelona's youth academy in 2009, aged 13. A year later, he moved to La Masia's facilities. In September 2012, still a youth, he was called up by manager Tito Vilanova to train with first team.

Born in San Lorenzo, Paraguay, Sanabria started his career in futsal, later moving to football. He joined Cerro Porteño's youth academy in 2004. In 2007, he and his parents moved to Spain, and he joined a local club from Sitges, called La Blanca Subur CF.

Arnaldo Antonio Sanabria Ayala (born 4 March 1996), also known as Tonny Sanabria, is a Paraguayan professional footballer who plays for Italian club Genoa, on loan from Real Betis, as a striker.